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NPI Code Detail

MEDICARE: KYLIE RITA LINK PMHNP-BC

MEDICARE: KYLIE RITA LINK PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner33836TN

General Provider Information

NPI Number : 1053009571
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE RITA LINK PMHNP-BC
Provider Business Mailing Address
First Line : 377 RIVERSIDE DR STE 302
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5393
Country : US
Telephone Number : 615-205-8692
Fax Number : 615-908-5849
Provider Business Practice Location Address
First Line : 377 RIVERSIDE DR STE 302
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5393
Country : US
Telephone Number : 615-205-8692
Fax Number : 615-908-5849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2023
Last Update Date : 09/17/2024

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Directions to “ KYLIE RITA LINK PMHNP-BC” Practice Location

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